S&C QCOR ESRD 2567s
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ESRDs 2567s
Selection Criteria ▸

Time Interval

Please select the calendar year or years for which you would like data.

Note: There is currently no ESRD 2567 data available past Feb 19, 2026 due to data system migrations.

Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific ESRD deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 112594 Paulding Dialysis 4019 Johns Road Dallas GA 4 (Atlanta) 10/11/2018 MEPU11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
▼ 112594 Paulding Dialysis 4019 Johns Road Dallas GA 4 (Atlanta) 03/16/2022 FCK311 Complaint
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0400 Cfc - Physical Environment Condition
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0750 Cfc - Governance Condition
▼ 112594 Paulding Dialysis 4019 Johns Road Dallas GA 4 (Atlanta) 11/07/2024 6XJ411 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
E0028 Dialysis Emergency Equipment Standard
V0000 Initial Comments - Not A Deficiency Citation Memo
V0114 Ic - Sinks Available Standard
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0122 Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols Standard
V0126 Ic - Hbv - Vaccinate Patients & Staff Standard
V0128 Ic - Hbv - Isolation (Existing Facility) Standard
V0175 Cfc - Water And Dialysate Quality Condition
V0250 Dialysate Proportioning - Monitor Ph/Conductivity Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard
V0557 Initial Poc Implemented - 30 Days/13 Tx Standard
V0632 Qapi Indicator - Anemia Management Standard
V0750 Cfc - Governance Condition
▼ 112595 Fresenius Medical Care Gwinnett Home 595 Hurricane Shoals Rd, Ste 202 Lawrenceville GA 4 (Atlanta) 04/05/2018 4CR111 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 112595 Fresenius Medical Care Gwinnett Home 595 Hurricane Shoals Rd, Ste 202 Lawrenceville GA 4 (Atlanta) 02/24/2022 SV5411 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0556 Poc Completed/Signed By Idt & Patient Standard
V0631 Qapi Indicator - Mineral Metabolism/Bone Disease Standard
V0715 Md Resp - Ensure All Adhere To P&P Standard
▼ 112596 Southern Lane Dialysis 1840 Southern Lane Decatur GA 4 (Atlanta) 09/29/2021 HXQ011 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0113 Ic - Wear Gloves/Hand Hygiene Standard
V0143 Ic - Aseptic Techniques For Iv Meds Standard
V0403 Pe - Equipment Maintenance - Manufacturer'S Dfu Standard
▼ 112599 Fmcna Conyers 1285 Wellbrook Circle Ne Conyers GA 4 (Atlanta) 08/07/2019 2OZG11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0260 Personnel - Training Program/Periodic Audits Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0556 Poc Completed/Signed By Idt & Patient Standard
V0636 Qapi Indicator - Pt Satisfaction & Grievances Standard
▼ 112600 Dialysis Clinic, Inc- North Columbus 2432 Warm Springs Road Columbus GA 4 (Atlanta) 12/27/2018 51E512 Standard
Deficiency Tag Deficiency Description Tag Type
V0000 Initial Comments - Not A Deficiency Citation Memo
V0112 Ic - Cdc Mmwr 2001 Standard
V0147 Ic - Staff Education Re Catheters/Catheter Care Standard
V0318 Reprocessing Area And Ventilation Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0638 Continuously Monitor/Take Action/Track/Sustain Improve Standard
▼ 112600 Dialysis Clinic, Inc- North Columbus 2432 Warm Springs Road Columbus GA 4 (Atlanta) 04/27/2021 90A711 Special, Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0184 Environment: Secure And Restricted Standard
V0503 Appropriateness Of Dialysis Rx Standard
V0543 Manage Volume Status Standard
▼ 112601 Rcg- Thomasville 300 West Jackson Street Thomasville GA 4 (Atlanta) 09/19/2018 U3UR11 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
V0000 Initial Comments - Not A Deficiency Citation Memo
V0117 Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts Standard
V0118 Ic - Single Use Vials Standard
V0402 Pe - Building - Constructed/Maintained To Ensure Safety Standard
V0541 Patient Plan Of Care - Goals - Community-Based Standards Standard